A 28-year-old woman was referred to our institution with sudden onset chest pain at rest. Electrocardiography revealed an inferoposterior ST-segment elevation myocardial infraction. The patient proceeded to cardiac catheterization, which revealed a large ectatic left circumflex coronary artery with an apparent fistula connecting it to the coronary sinus. Follow-up angiography revealed that the fistula was no longer patent, spontaneously thrombosed, and resolved without requiring surgery.
LauretiJMSinghKBlankenshipJ. Anomalous coronary arteries: a familial clustering. Clin Cardiol. 2005;28(10):488–490.
2.
YukselSYasarENarG. Prevalence and characteristics of coronary-cameral communications in adult patients: coronary angiographic analysis of 16,573 patients. Med Princ Pract. 2014;23(4):336–339.
3.
ArmsbyLRKeaneJFSherwoodMCForbessJMPerrySBLockJE. Management of coronary artery fistulae. Patient selection and results of transcatheter closure. J Am Coll Cardiol. 2002;39(6):1026–1032.
4.
LevinDCFellowKEAbramsHL. Haemodynamically significant primary anomalies of the coronary artery. Circulation. 1978;58(1):23–34.
5.
MaheshBNavaratnarajahMMensahKAmraniM. Treatment of high-output coronary artery fistula by off-pump coronary artery bypass grafting and ligation of fistula. Interact CardioVasc Thorac Surg. 2009;9(1):124–126.
6.
ValenteAMLockJEGauvreauK. Predictors of long-term adverse outcomes in patients with congenital coronary artery fistulae. Circ Cardiovasc Interv. 2010;3(2):134–139.
